A:Yes, the counts in this report are low, but a single report has no clinical relevance. Semen analysis needs to be repeated a minimum of three times with a gap of month before we label someone as having low sperm counts. The semen analysis should be done with three days abstinence. You need to be clinically evaluated. A varicocoele needs to be ruled out. Your spouse needs to be assessed. Only then a comment can be made about the possibility of pregnancy. Drugs are available to improve the sperm counts. With todays assisted reproductive techniques, it is possible to become a father even if there is a single sperm! So no stress, there are ample options available.